Individual provider Active NPI

Mary Cynthia Dodge-Hobson, MS CCC-SLP

  • Speech-Language Pathologist
  • Dover, NH
National Provider Identifier
1437655370
Registry record updated Mar 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0264 Issued in NH
Practice address
95A Fourth St
Dover, NH 03820-2900
Phone
(603) 970-1653
NPI assigned
Mar 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0264 NH Primary

Addresses

Primary practice location

95A Fourth St
Dover, NH 03820-2900

Mailing address

95A Fourth St
Dover, NH 03820-2900
Phone (603) 970-1653

Other identifiers 1

IdentifierTypeStateIssuer
0264OtherNHNH STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0264NHMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522454400000",
    "number": "1437655370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95A FOURTH ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202900",
            "telephone_number": "603-970-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95A FOURTH ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202900",
            "telephone_number": "603-970-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE-HOBSON",
        "first_name": "MARY",
        "middle_name": "CYNTHIA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH STATE LICENSE",
            "identifier": "0264",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.